Stance Health Solutions, uniting SG Homecare and Western Drug ยท 1 month ago
Vice President (VP) of Managed Care
Irvine,CA,US
Full-time
Onsite
Director/Executive
10+ years expStance Health Solutions is a company formed by uniting SG Homecare and Western Drug, and they are seeking a Vice President of Managed Care. The VP Managed Care will plan and direct all aspects of the organization's managed care function, focusing on developing and managing contracts and relationships to optimize reimbursement and ensure compliance within the insurance sector.
Hospital & Health Care
Responsibilities
Responsible for directing and implementing managed care systems for healthcare facilities
Lead the negotiation and administration of managed care contracts with payors and providers
Develop and implement strategies to maximize reimbursement and minimize financial risk
Monitor contract performance and ensure compliance with regulatory requirements
Collaborate with executive leadership to align managed care initiatives with organizational goals
Analyze market trends and payor performance to inform decision making
Establish and maintain strong relationships with external partners and stakeholders
Qualification
Required
Minimum of 10 years of experience in managed care, insurance, or healthcare administration, with at least 5 years in a leadership or executive role
Bachelor's Degree or equivalent experience
California Resident recent experience working in CA managed care
Responsible for directing and implementing managed care systems for healthcare facilities
Lead the negotiation and administration of managed care contracts with payors and providers
Develop and implement strategies to maximize reimbursement and minimize financial risk
Monitor contract performance and ensure compliance with regulatory requirements
Collaborate with executive leadership to align managed care initiatives with organizational goals
Analyze market trends and payor performance to inform decision making
Establish and maintain strong relationships with external partners and stakeholders
Operational Policy Development
Managed Care Management
Strong negotiation and contract management skills
In-depth knowledge of managed care and insurance regulations
Strategic planning and analytical abilities
Excellent leadership and team management skills
Effective communication and interpersonal skills
Financial acumen and budget management
Preferred
Durable medical equipment (DME) environment PLUS
Company
Stance Health Solutions, uniting SG Homecare and Western Drug
Stance Health Solutions is a patient-centric healthcare company that enables our customers to live comfortably at home by providing reliable services and innovative solutions for every stage and every age.
501-1000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase